| Titre : | Income, education, and blood pressure in adults in Jamaica, a middle-income developing country. Commentary. (2003) |
| Auteurs : | MENDEZ (Michelle-A) : USA. Carolina Population Center. University of North Carolina at Chapel Hill. NC. ; Richard COOPER ; Terrence FORRESTER ; Martin Gulliford ; Amy LUKE ; Rainford WILKS ; Department of Preventive Medicine and Epidemiology. Loyola University. Chicago. IL. USA ; Tropical Metabolism Research Institute. University of the West Indies. JAM |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 32, n° 3, 2003) |
| Pagination : | 400-409 |
| Langues: | Anglais |
| Mots-clés : | Niveau enseignement ; Adulte ; Homme ; Jamaïque ; Antilles ; Amérique ; Pays voie développement ; Facteur socioéconomique ; Hypertension artérielle ; Epidémiologie ; Appareil circulatoire [pathologie] ; Amérique centrale |
| Résumé : | [BDSP. Notice produite par INIST-CNRS TR0xm4ji. Diffusion soumise à autorisation]. Background At present, little is known about how socioeconomic status (SES) is related to blood pressure (BP) and hypertension in developing countries. This cross-sectional study examined associations between SES and BP in 2082 adults from a periurban area of Jamaica, a middle-income developing country. Methods Hypertension (systolic BP>=140 mm Hg, diastolic BP>=90 mm Hg or current hypertensive medication use) was estimated based on self-reported medication use and the mean of the second and third of three manual BP measurements. Income and education were self-reported. Linear or logistic regressions were used to estimate multivariate associations between BP or hypertension and SES. Results Hypertension prevalence was 20% in men and 28% in women. In both men and women, the income distributions of BP and hypertension were non-linear, indicating elevated levels in low as well as in high-income groups. In contrast to the negative relationships typical for industrialized countries, multivariate-adjusted BP and hypertension were highest in the wealthiest women. In men with some high school education, income was positively associated with BP, while there were negative associations in men with lesser education. Unlike women, mean BP were highest in poor men with limited education. Low SES men were also least likely to receive diagnosis and treatment. Conclusions Socioeconomic status is related to BP and hypertension in Jamaica, although relationships are non-linear. Behavioural and environmental factors that explain elevated BP among both low and high SES adults in developing countries must be identified to develop effective prevention strategies. |
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